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NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE
SU95~0
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NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Six Hundred & Ea,ghtv~Five Dollars & N~nety~Five Cents
($ 685.95 ) Dollars against any real or personal property or
interest therein .presently held or after acquired by NN
Tom White of 1411 Ave. M,, Ft.(P~ercef F1.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Louetta White
Wife Tom White
of said
(Relationship)
as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 10/6/80
Date Discharged: 10/9/80
Number of Days: 3 at $ 228.65 per day = $ 6$5.95
Less Credits 0
Amount of Lien $ 685.95
Dated at Fort Pierce, Florida, this ~it/L day of December
33450
19 80 ~ {
(Sig to e) t
COUNT TTORNEY
(Title) i
SU9540
SWORN to ~ari8z -subscribed before me
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